Dominica N Roberts, FNP in Ukiah, CA - Medicare Nurse Practitioner

Dominica N Roberts, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ukiah, California. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mendocino Community Health Clinic Inc and her current practice location is 333 Laws Ave, Ukiah, California. You can reach out to her office (for appointments etc.) via phone at (707) 468-1010.

Dominica N Roberts is licensed to practice in California (license number 95031253) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124594080.

Contact Information

	Dominica N Roberts, FNP
	333 Laws Ave, Ukiah, CA 95482-6540
	(707) 468-1010
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominica N Roberts
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	333 Laws Ave, Ukiah, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dominica N Roberts graduated from nursing school in 2024

NPI Data:

NPI Number: 1124594080
Provider Enumeration Date: 10/18/2018
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4183154404
Enrollment ID: I20250214002677

Medical Identifiers

Medical identifiers for Dominica N Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124594080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95031253 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Ukiah Valley	Ukiah, CA	Hospital
Adventist Health Howard Memorial	Willits, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mendocino Community Health Clinic Inc	6305755455	47

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dominica N Roberts allows following entities to bill medicare on her behalf.

Entity Name	Mendocino Community Health Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominica N Roberts is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dominica N Roberts, FNP 333 Laws Ave, Ukiah, CA 95482-6540 Ph: (707) 468-1010	Dominica N Roberts, FNP 333 Laws Ave, Ukiah, CA 95482-6540 Ph: (707) 468-1010

Reviews and Comments

Nurse Practitioner Nurses in Ukiah, CA

Mrs. Frances Ann Laughton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 209, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111
Jordan E Stephens, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 Kings Ct, Ukiah, CA 95482 Phone: 707-468-7700
Liliane Robison, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Laws Ave, Ukiah, CA 95482 Phone: 707-468-1010
Judith Werner Lemke, RN, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 957 Fairway Ave, Ukiah, CA 95482 Phone: 707-468-7414
Xiaojie Wu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr Ste 207, Ukiah, CA 95482 Phone: 707-463-7627
Gladys Ruiz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S Dora St, Ukiah, CA 95482 Phone: 707-621-1247
Julie Miner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-2400

Dominica N Roberts, FNP - Medicare Nurse Practitioner in Ukiah, CA